The number of Sudanese risking their lives to make it out of the besieged city of El Fasher in North Darfur is rising as the paramilitary Rapid Support Forces (RSF) intensify their attacks on the regional capital, according to aid agencies, including Medecins Sans Frontieres (MSF).

"The numbers are still increasing [from] mid August up to now," said Romain Madjissembaye, the MSF project manager in Tawila. Located about 60 kilometres west of El Fasher, it has become a major hub for the displaced.

He said that last week, they saw around 90 people who arrived in critical condition. "A lot of them are malnourished and they are facing executions on the road, some gunshots," Madjissembaye told CBC News via a Zoom interview.

An estimated 260,000 civilians, including 130,000 children remain trapped in El Fasher according to UN agencies. Surrounded by RSF militias on three sides, the city has now endured over 500 days of siege, cut off from food, medicine or a safe exit.

Some media reports suggest people are having to eat animal feed to survive.

MSF pulled out of El Fasher โ€” one of t

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